Determining Your Medicare Value-Based Strategy for 2026

This guide outlines the strategic considerations for healthcare leaders regarding participation in Medicare value-based programs for 2026 and beyond. It emphasizes the urgency for organizations to evaluate their involvement in the Medicare Shared Savings Program (MSSP) and the ACO Realizing Equity, Access, and Community Health (ACO REACH) program. The document details the importance of transitioning to value-based care models, which are essential for sustainable healthcare and improving patient outcomes. Key aspects include assessing program design, readiness evaluation, and the need for tailored strategies that align with organizational goals. The guide also discusses recent updates to the MSSP, including changes in payment models and quality reporting requirements, which are crucial for organizations to understand as they prepare for the upcoming performance year. Additionally, it highlights the growth of the ACO REACH model and its focus on health equity, providing insights into its operational dynamics and financial implications for participating organizations.